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Related Experiment Videos

The management of intussusception.

R A Paes1, I Hyde, D M Griffiths

  • 1Wessex Department of Paediatric Radiology, Southampton General Hospital.

The British Journal of Radiology
|March 1, 1988
PubMed
Summary

This study presents a management strategy for hydrostatic reduction of intussusception, improving success rates and avoiding surgery in 64% of patients. Failed cases often involved bowel infarction requiring resection.

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Area of Science:

  • Pediatric Surgery
  • Gastrointestinal Radiology

Background:

  • Intussusception is a common surgical emergency in infants and children.
  • Hydrostatic reduction is a primary treatment modality, but success rates vary.
  • Standardized management protocols are needed to optimize outcomes.

Purpose of the Study:

  • To present a comprehensive management scheme for hydrostatic reduction of intussusception.
  • To identify key factors influencing the success of this procedure.
  • To reduce the need for surgical intervention (laparotomy).

Main Methods:

  • Detailed patient selection criteria.
  • Standardized radiological techniques for hydrostatic reduction.
  • Systematic clinical assessment and follow-up protocols.

Main Results:

  • Implementation of the standardized management scheme increased the success rate of hydrostatic reduction.
  • Laparotomy was avoided in 64% of treated patients.
  • Failed reductions were predominantly associated with bowel infarction necessitating resection.

Conclusions:

  • A standardized management approach enhances the efficacy of hydrostatic reduction for intussusception.
  • Careful patient selection and radiological technique are crucial.
  • Early identification of complications like bowel infarction is vital for appropriate management decisions.

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